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Let's Connect
Complete this form and someone from our team will connect with you to schedule a free initial phone consultation. We look forward to working with you!
First name
Last name
Email
Phone
Which therapist do you prefer?
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What services are you interested in? (select all that apply)
Individual therapy
Couples counseling
Adolescent therapy
EMDR + Brainspotting
Where would you like to meet for therapy? (select all that apply)
Virtual
In-person
Ecotherapy
No Preference
What are you wanting to work on together? (select all that apply)
Anxiety
Depression
Mood Disorder
Trauma + PTSD
Religious Trauma + Deconstruction
Shame + Self-worth
Body Image Issues
Relationship Conflicts
LGBTQIA+ Issues
OCD/Perfectionism
ADHD
Autism
Life Transitions
Burnout + Stress
Values Exploration
Other (Write in the text box below)
Is there anything else you would like to share?
How did you hear about us?
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